摘要
目的探讨护理敏感质量指标评价在经外周静脉置入中心静脉导管(PICC)带管患者化疗间歇期导管管理中的应用效果。方法选择2020年1月—12月应用护理敏感质量指标评价前的280例PICC带管化疗间歇期患者为对照组,应用护理敏感质量指标评价后的280例PICC带管化疗间歇期患者为研究组。研究组应用护理敏感质量指标评价进行管理,对照组采用常规护理干预和质量管理。比较两组PICC自我管理能力、导管维护依从性、导管相关并发症发生率及带管满意度情况。结果研究组273例、对照组275例患者完成研究。干预后,研究组PICC自我管理能力量表各维度评分及总分均高于对照组,研究组导管维护依从性高于对照组,研究组PICC相关并发症总发生率低于对照组,研究组PICC患者带管满意度调查表评分高于对照组,差异均有统计学意义(P<0.05)。结论应用护理敏感质量指标评价进行质量管理能够有效提高PICC带管化疗间歇期患者自我管理能力和维护依从性,降低导管相关并发症的发生率,同时有利于提升患者带管满意度。
Objective To investigate the value of nursing-sensitive indicators(NSIs)in the management of peripherally inserted central catheter(PICC)during chemotherapy intermission.Methods Data were collected during the period from January to December 2020.A total of 280 PICC patients during chemotherapy intermission in whom only the conventional nursing interventions and quality control were applied were enrolled in the control group,and 280 PICC patients during chemotherapy intermission in whom the NSIs were applied were enrolled in the NSI group.PICC self-management ability,catheter maintenance compliance,catheter-related complication rate,and patient satisfaction were compared between these two groups.Results Finally 273 patients in the NSI group and275 patients in the control group completed the study.The scores of all dimensions of the PICC Self-management Ability Scale and the total score were significantly higher in the NSI group than in the control group(P<0.05).The adherence to catheter maintenance in the NSI group was significantly higher than that in the control group(P<0.05).The total incidence of PICC-related complications in the NSI group was significantly lower than that in the control group(P<0.05),and the NSI group had significantly higher patient satisfaction score than the control group(P<0.05).Conclusions Quality management using NSIs can effectively improve the selfmanagement ability and maintenance compliance of PICC patients during chemotherapy intermission,reduce the incidence of catheterrelated complications,and improve patient satisfaction with PICC use.
作者
杨柳
李玲
李晓娜
赵立平
冯立群
崔建荣
董凡超
Yang Liu;Li Ling;Li Xiaona;Zhao Liping;Feng Liqun;Cui Jianrong;Dong Fanchao(Linyi Municipal Cancer Hospital,Linyi 276024,Shandong Province,China)
出处
《中国医疗管理科学》
2023年第1期101-106,共6页
Chinese Journal Of Medical Management Sciences
基金
临沂市医院协会医院管理创新研究重点课题(LYYYGL2022009)。
关键词
护理敏感质量指标
PICC
化疗间歇期
互联网服务
居家照护
Nursing-sensitive indicators
Peripherally inserted central catheter
Chemotherapy intermission
Internet services
Home-based care